急性胆囊炎延期腹腔镜胆囊切除术情况分析  

Surgical Analysis of Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis

作　　者：赵士民[1] 赵克才 ZHAO Shimin;ZHAO Kecai(Donghai County Chinese Medicine Hospital,Lianyungang City,Jiangsu Province,Lianyungang,Jiangsu 222300,China)

机构地区：[1]江苏省连云港市东海县中医院,江苏连云港222300

出　　处：《大医生》2019年第21期159-161,共3页Doctor

摘　　要：目的 分析急性胆囊炎延期腹腔镜胆囊切除术的手术特点.方法 回顾性方法 分析江苏省连云港市东海县中医院2013年1月至2018年12月收治的45例急性胆囊炎患者的临床资料,根据手术时间分为早期组与延期组,比较2组临床疗效及并发症发生情况.结果 延期组患者的手术时间、术中出血量、术后住院时间均高于早期组,差异有统计学意义(P<0.05).2组并发症发生情况比较差异无统计学意义(P>0.05).结论 急性胆囊炎行延期腹腔镜胆囊切除术的难度增大,把握手术技巧,同样具有较高安全性及可行性.Objective To analyze the surgical condition of delayed laparoscopic cholecystectomy for acute cholecystitis.Methods The clinical data of 45 patients with acute cholecystitis admitted to the hospital of traditional Chinese medicine of donghai county,lianyungang city,jiangsu province from January 2013 to December 2018 were analyzed retrospectively.The patients were divided into the early group and the delayed group according to the operation time,and the clinical efficacy and complications of the two groups were compared.Results The operation time,intraoperative blood loss and postoperative hospital stay of the delayed group were all higher than those of the early group,with statistically significant differences(P<0.05).There was no statistically significant difference in the occurrence of complications between the two groups(P>0.05).Conclusion Delayed laparoscopic cholecystectomy for acute cholecystitis is more difficult.It is also safe and feasible to grasp the surgical techniques.

关 键 词：急性胆囊炎 延期腹腔镜胆囊切除术 手术技巧 

分 类 号：R65[医药卫生—外科学]